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Patient expectations after breast augmentation: the imperative to audit your sizing system
1, Suite 2, 8-12 Gibb Street, Berwick, VIC, 3806, Australia, tim@timbrown.com.au.
Aesthetic Plastic Surgery
|September 20, 2013
Summary
Early patient expectations after breast augmentation surgery predict long-term satisfaction. A significant percentage of patients desired different implant sizes, highlighting the need for accurate preoperative assessment and informed consent.
Area of Science:
- Plastic Surgery
- Patient Outcomes
- Surgical Aesthetics
Background:
- Patient dissatisfaction with breast size post-augmentation can necessitate early revision surgeries.
- Preoperative sizing methods, including measurements and computer-assisted assessments, aim to optimize outcomes.
- Surgeon feedback is crucial to validate the effectiveness of any sizing system.
Purpose of the Study:
- To prospectively assess patient satisfaction with breast size 12 weeks after augmentation surgery.
- To evaluate the predictive value of early postoperative expectations on long-term satisfaction and desire for implant size change.
- To identify factors influencing the desire for implant size modification.
Main Methods:
- Prospective assessment of 137 patients undergoing breast augmentation by a single surgeon over 12 weeks.
- Evaluation of patient expectations and desire to change implant size at week 1 and week 12.
- Correlation analysis between early expectations, long-term assessment, and demographic/surgical factors.
Main Results:
- Early (week 1) patient expectations were strong predictors of 12-week satisfaction and desire for implant size change.
- 19.4% of patients desired larger implants, and 3.7% desired smaller implants by 12 weeks.
- Higher body mass index (BMI) and larger implant volumes were associated with an increased early desire for size change.
Conclusions:
- Preoperative assessment and informed consent for breast augmentation should incorporate patient expectations and potential for size dissatisfaction.
- Surgeons need practice-specific data on patient satisfaction to provide accurate counseling.
- Auditing patient outcomes is essential for improving breast augmentation surgical practice.
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